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soulgr4ffiti4rtist

Adding to the cocktail...choices choices choices...ugh

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So...my current situation is that I'm starting to get breakthrough psychosis on my current meds and my pdoc wants to add something to the mix. I'm on Effexor 150mg in the morning, then Risperdal 3mg and Lamictal 200 mg at night. We don't want to up the Risperdal any more because it gives me a hard time waking up for early shifts at work. Right now she's added Abilify 5mg to take in the morning and it's only been four days but she also talked about maybe trying geodon or latuda. Both of those need to be taken with food to get the most out of them and I also happen to be a recovering purging anorexic so to eat that much first thing in the morning totally freaks me out, so that's why we settled on Abilify as the first option. So I just wondered if anyone could tell me their experience with Abilify, specifically if taken in the morning, and if it was taken along with an additional antipsychotic at night how the doses worked for you. I struggle with negative symptoms a bit and hope that an additional med could maybe help with that as well...any experiential advice on that topic? As many probably do, I've been stuck experimenting with different doses and combos for the past three and a half years since the beginning of my treatment only having a few months of stability at a time...I keep holding out hope that the next change will be "the one"...so any suggestions would be so so appreciated. I know meds are so individual, but the slightest direction would be encouraging. Thank you all so much!

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I take Abilify in the morning for depression but not for psychosis and not with any other antipsychotic. Coincidentally, I actually switched from Risperdal to Abilify, but I never had sedation on Risperdal (4 mg). Well, for the first year, it was a real kick in the seat of the pants it was so activating for me. Almost like speed. It didn't work for me until I hit 10 mg, and at lower doses all I got was some horrible anxiety that was so bad I almost gave up. But thankfully I stuck with it and once my dose was right (10 mg) it kicked in like magic. Some of the activation and the magic is gone now as I feel like it is slowly pooping out on me but I'm still much better off on it than off it.

In my opinion, it's not really a good PRN med because it took time to work for me, but that might be different when it comes to psychosis, I don't know.

I have found that Abilify plays nice with other meds and particularly my meds.

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Abilify has been great with me.  I wasn't sleepy with it, it didn't activate me, and it was weight-neutral.  And I take it with other meds (see sig below) without a problem.

IMO abilify is not a good prn med because it doesn't work right away.  Please correct me if I am wrong, but I haven't ever heard of it acting right away for psychosis. 

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Sorry guys I don't mean to say the Abilify would be a prn med...we're adding it to my morning meds to take regularly to help with some stubborn psychosis the risperdal isn't knocking out on its own. Also, I call it depression but my pdoc leans towards it being negative symptoms I'm struggling with too, so I just wonder how it will work for these things and how soon I should know if it needs more tweaking... Thanks for the responses! :) 

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I would give the abilify at least 6-8 weeks to see how it works for you.  It took me 7 weeks to feel a change.  Some people see a change sooner than later, but sometimes it can take awhile to actually feel whether it is helping or not.

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Woke up today feeling like my brain found a new order and clarity that hadn't been there in a few months...little bounce back in my step, easier to smile naturally... Crossing fingers that this is just the beginning of something good. What are the first things you guys notice when a med starts kicking in?

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